Dual plating provides better coronal alignment in femoral periprosthetic fracture cases
The use of dual implants for treating distal femur periprosthetic fractures is a topic that has gained increasing attention. Dual plating (DP) has become an emerging approach for managing these complex and challenging injuries.
In their recent study, Andring et al. and colleagues concluded that dual plating for distal femoral periprosthetic fractures ensures good coronal alignment and low reoperation rates even in patients with immediate weight bearing. The patients regained baseline level of ambulation more reliably when compared to those treated with a single distal femoral locking plate.
This study is published in the Journal of Orthopaedic Trauma.
The present study described an experience with the DP construct. The study design and settings included a retrospective case series with a comparison group and a Level 1 academic trauma centre.
The selection criteria for patients in this study involved adults over 50 with sustaining comminuted OTA/AO 33-A2 or 33-A3 DFPF fractures. These cases were treated with either DP or a single distal femur locking plating (DFLP). Patients with simple 33-A1 fractures were not included in the study. Before 2018, DFLP was the preferred treatment and patients were treated with this method, but DP has become the treatment choice since then. The Outcome Measures and Comparisons included reoperation rate, alignment, and complications.
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